scholarly journals Design and Validation of a Questionnaire to Measure the Acceptance of Telemedicine by Healthcare Professionals in Germany

2020 ◽  
Author(s):  
Martina Verfürth
Keyword(s):  
Technology Acceptance ◽  
Healthcare Professionals ◽  
Healthcare Spending ◽  
Future Research ◽  
Telemedicine Service ◽  
Service Programs ◽  
External Variables ◽  
Organization Policy ◽  
Acceptance Model ◽  
Relevant Factors

Abstract Background: Telemedicine allows healthcare professionals to manage patient treatments remotely and to benefit from the interaction of telemedicine centers. Even though telemedicine responds to the current burdens in healthcare systems, these complex infrastructures depend on technology, financing, organization, policy, legislation, and, not least, on their corresponding acceptance by the user. Little is known in this context about the drivers for this acceptance by healthcare professionals giving treatment. Germany, with the highest healthcare spending in the world, is particularly lagging here. As there is less focus on guidance for building acceptance constructs, and, in particular, little research on the acceptance of interactive telemedicine by healthcare professionals in Germany, the objective was the collection of the relevant factors influencing German healthcare professionals in the implementation of telemedicine service programs (TSSs). Acceptance constructs were built and operationalized in a questionnaire, taking into consideration the gold standard technology acceptance model of Davis.Methods: A literature review was conducted to identify the acceptance factors that had already been detected and frequently confirmed. These factors were evaluated according to the coverage of the interactive infrastructures with telemedicine centers and how accurately they fitted Germany. The identified factors were adapted, and missing factors were designed, via an idea collection for items. The reliability of the developed constructs was tested using a field test to check the constructs using item revision analysis.Results: Frequently supported external variables, taken from 17 filtered studies covering the technical, organizational, social, legal, and individual context, were identified. However, the review showed that there was less focus on the German setting and the interactive aspect, so the market-related variables were adapted and new constructs of “trust in the telemedicine center” and “relationship to patient” were added. Ten variables were proven to have a reliability, measured with Cronbach’s Alpha, of more than 0.7.Conclusion: This paper enhances the already existing technology acceptance studies in healthcare by covering German specifications and the interactive character of TSSs. A corresponding questionnaire has been developed ready for future research.

scholarly journals Design and Validation of a Questionnaire to Measure the Acceptance of Telemedicine by Healthcare Professionals in Germany

2020 ◽  
Author(s):  
Martina Verfürth
Keyword(s):  
Technology Acceptance ◽  
Healthcare Professionals ◽  
Healthcare Spending ◽  
Future Research ◽  
Telemedicine Service ◽  
Service Programs ◽  
External Variables ◽  
Organization Policy ◽  
Acceptance Model ◽  
Relevant Factors

Abstract Background: Telemedicine allows healthcare professionals to manage patient treatments remotely and to benefit from the interaction of telemedicine centers. Even though telemedicine responds to the current burdens in healthcare systems, these complex infrastructures depend on technology, financing, organization, policy, legislation, and, not least, on their corresponding acceptance by the user. Little is known in this context about the drivers for this acceptance by healthcare professionals giving treatment. Germany, with the highest healthcare spending in the world, is particularly lagging here. As there is less focus on guidance for building acceptance constructs, and, in particular, little research on the acceptance of interactive telemedicine by healthcare professionals in Germany, the objective was the collection of the relevant factors influencing German healthcare professionals in the implementation of telemedicine service programs (TSSs). Acceptance constructs were built and operationalized in a questionnaire, taking into consideration the gold standard technology acceptance model of Davis.Methods: A literature review was conducted to identify the acceptance factors that had already been detected and frequently confirmed. These factors were evaluated according to the coverage of the interactive infrastructures with telemedicine centers and how accurately they fitted Germany. The identified factors were adapted, and missing factors were designed, via an idea collection for items. The reliability of the developed constructs was tested using a field test to check the constructs using item revision analysis.Results: Frequently supported external variables, taken from 17 filtered studies covering the technical, organizational, social, legal, and individual context, were identified. However, the review showed that there was less focus on the German setting and the interactive aspect, so the market-related variables were adapted and new constructs of “trust in the telemedicine center” and “relationship to patient” were added. Ten variables were proven to have a reliability, measured with Cronbach’s Alpha, of more than 0.7.Conclusion: This paper enhances the already existing technology acceptance studies in healthcare by covering German specifications and the interactive character of TSSs. A corresponding questionnaire has been developed ready for future research.

scholarly journals Design and validation of a questionnaire to measure the acceptance of telemedicine by healthcare professionals in Germany

2020 ◽  
Author(s):  
Martina Verfürth
Keyword(s):  
Literature Review ◽  
Technology Acceptance ◽  
Field Test ◽  
Healthcare Professionals ◽  
Healthcare Spending ◽  
Healthcare Systems ◽  
Future Research ◽  
The World ◽  
External Variables ◽  
Organization Policy

Abstract Background: Telemedicine allows healthcare professionals to manage patient treatments remotely and to benefit from the interaction of telemedicine centers. Even though telemedicine responds to the current burdens in healthcare systems, these complex infrastructures depend on technology, financing, organization, policy, legislation, and, not least, on their corresponding acceptance by the user. Little is known in this context about the drivers for this acceptance by healthcare professionals giving treatment. Germany, with the highest healthcare spending in the world, is particularly lagging here.Methods: A literature review was conducted to identify the acceptance factors that had already been detected and frequently confirmed. These factors were evaluated according to the coverage of the interactive infrastructures with telemedicine centers and how accurately they fitted Germany. The identified factors were adapted, and missing factors were designed, via an idea collection for items. The reliability of the developed constructs was tested using a field test to check the constructs using item revision analysis.Results: Frequently supported external variables, taken from 17 filtered studies covering the technical, organizational, social, legal, and individual context, were identified. However, the review showed that there was less focus on the German setting and the interactive aspect, so the market-related variables were adapted and new constructs of “trust in the telemedicine center” and “relationship to patient” were added. Ten variables were proven to have a reliability, measured with Cronbach’s Alpha, of more than 0.7.Conclusion: This paper enhances the already existing technology acceptance studies in healthcare by covering German specifications and the interactive character of TSSs. A corresponding questionnaire has been developed ready for future research.

Integrating TAM, TPB and TOE frameworks and expanding their characteristic constructs for e-commerce adoption by SMEs

2015 ◽  
Vol 6 (1) ◽  
pp. 76-94 ◽  
Author(s):  
Hart O. Awa ◽  
Ojiabo Ukoha Ojiabo ◽  
Bartholomew Chinweuba Emecheta
Keyword(s):  
Technology Acceptance ◽  
Technology Acceptance Model ◽  
Reasoned Action ◽  
Theoretical Framework ◽  
Future Research ◽  
Content Type ◽  
Perceived Service Quality ◽  
Integrated Framework ◽  
Perceived Trust ◽  
Acceptance Model

Purpose – This paper aims to propose a framework that integrated the technology acceptance model (TAM), theory of planned behaviour (TPB) and technology-organization-environment (TOE) and extended the constructs to enrich literature and capture some peculiarities of small and medium-scale enterprises (SMEs). Individually, the frameworks of extant TAM, TPB and TOE are insightful to the understanding of e-commerce adoption but a bit parochial in their constructs and so, can rarely provide clear lenses to deal with SMEs. Design/methodology/approach – The adoption of e-commerce depends largely on the users’ conscious assessment of the influencing constructs as proposed, among others, in theories of reasoned action, TAM, TPB and TOE. This paper reviewed, synthesized and extended the constructs of these models in an integrated framework. The proposed integrated framework led to 18 propositions to promote and facilitate future research, and to guide explanation and prediction of e-commerce adoption in an organized system. Findings – The introduced constructs in the integrated framework (e.g. company mission, individual difference factors, perceived trust and perceived service quality) introduce socio-technical systems and improve the theoretical base of adoption. Research limitations/implications – Neither the adoption drivers nor the constructs in the theoretical framework are mutually exclusive and exhaustive; rather, they are complementary and could incorporate other factors. Although the theoretical implications of the findings of this paper extend the scope of adoption drivers, the proposed framework needs to be tested empirically. Originality/value – The integrated and extended theoretical framework links three adoption drivers and attempts to improve existing knowledge on e-commerce adoption and to provide bases for more informed decision(s).

Metrics development and modelling the mixed reality and digital twin adoption in the context of Industry 4.0

2021 ◽  
Vol ahead-of-print (ahead-of-print) ◽  
Author(s):  
Samad M.E. Sepasgozar ◽  
Mohsen Ghobadi ◽  
Sara Shirowzhan ◽  
David J. Edwards ◽  
Elham Delzendeh
Keyword(s):  
Technology Acceptance ◽  
Mixed Reality ◽  
Ease Of Use ◽  
Perceived Usefulness ◽  
Future Research ◽  
Key Factors ◽  
Content Type ◽  
Factors Affecting ◽  
Digital Twin ◽  
Acceptance Model

PurposeThis paper aims to examine the current technology acceptance model (TAM) in the field of mixed reality and digital twin (MRDT) and identify key factors affecting users' intentions to use MRDT. The factors are used as a set of key metrics for proposing a predictive model for virtual, augmented and mixed reality (MR) acceptance by users. This model is called the extended TAM for MRDT adoption in the architecture, engineering, construction and operations (AECO) industry.Design/methodology/approachAn interpretivist philosophical lens was adopted to conduct an inductive systematic and bibliographical analysis of secondary data contained within published journal articles that focused upon MRDT acceptance modelling. The preferred reporting items for systematic reviews and meta-analyses (PRISMA) approach to meta-analysis were adopted to ensure all key investigations were included in the final database set. Quantity indicators such as path coefficients, factor ranking, Cronbach’s alpha (a) and chi-square (b) test, coupled with content analysis, were used for examining the database constructed. The database included journal papers from 2010 to 2020.FindingsThe extant literature revealed that the most commonly used constructs of the MRDT–TAM included: subjective norm; social influence; perceived ease of use (PEOU); perceived security; perceived enjoyment; satisfaction; perceived usefulness (PU); attitude; and behavioural intention (BI). Using these identified constructs, the general extended TAM for MRDT in the AECO industry is developed. Other important factors such as “perceived immersion” could be added to the obtained model.Research limitations/implicationsThe decision to utilise a new technology is difficult and high risk in the construction project context, due to the complexity of MRDT technologies and dynamic construction environment. The outcome of the decision may affect employee performance, project productivity and on-site safety. The extended acceptance model offers a set of factors that assist managers or practitioners in making effective decisions for utilising any type of MRDT technology.Practical implicationsSeveral constraints are apparent due to the limited investigation of MRDT evaluation matrices and empirical studies. For example, the research only covers technologies which have been reported in the literature, relating to virtual reality (VR), augmented reality (AR), MR, DT and sensors, so newer technologies may not be included. Moreover, the review process could span a longer time period and thus embrace a fuller spectrum of technology development in these different areas.Originality/valueThe research provides a theoretical model for measuring and evaluating MRDT acceptance at the individual level in the AECO context and signposts future research related to MRDT adoption in the AECO industry, as well as providing managerial guidance for progressive AECO professionals who seek to expand their use of MRDT in the Fourth Industrial Revolution (4IR). A set of key factors affecting MRDT acceptance is identified which will help innovators to improve their technology to achieve a wider acceptance.

The Conceptualization of a Research Model for the Measurement of e-Government 2.0 Readiness in the Developing Countries

2012 ◽  
pp. 61-75
Author(s):  
Yfantis Vasileios ◽  
Abel Usoro ◽  
Tseles Dimitrios
Keyword(s):  
Developing Countries ◽  
Web 2.0 ◽  
Technology Acceptance ◽  
Conceptual Model ◽  
Empirical Model ◽  
Future Research ◽  
Successful Implementation ◽  
Acceptance Model ◽  
The Web

This chapter explores the potential of Web 2.0 utilization in developing countries through the concept of e-government. Successful implementation of the Web 2.0 concept has to combine both technological and human factors. Thus, this chapter proposes a conceptual model that will measure e-government 2.0 readiness. The conceptual model is based on a combination of the Technology Acceptance Model, Theory of Planned Behavior, and indexes from the United Nation’s database. South Sudan is used at the end as a brief case study of the potential of e-Government 2.0. Future research should validate the empirical model. Meanwhile, the implications of the model are presented.

A Conceptual Model for the Measurement of E-Government 2.0 Adoption by Developing Countries

2015 ◽  
pp. 239-251
Author(s):  
Yfantis Vasileios ◽  
Abel Usoro ◽  
Tseles Dimitrios
Keyword(s):  
Information Technology ◽  
Developing Countries ◽  
Technology Acceptance ◽  
Conceptual Model ◽  
Empirical Model ◽  
Social Computing ◽  
Future Research ◽  
The Public ◽  
The Government ◽  
Acceptance Model

The current work explores the use of social computing as a tool to improve the interactions between the government and other parties. Social computing, which is known as Web 2.0, is applied in the public sector through the concept of e-Government 2.0. This chapter proposes a conceptual model that will measure e-Government 2.0 adoption by combining known information technology theories. The conceptual model is based on a combination of the Technology Acceptance Model, Theory of Planned Behavior and indexes from the United Nation's database. Future research should validate the empirical model. Meanwhile, the implications of the model are presented.

An Examination of Factors Associated with User Acceptance of Social Shopping Websites

2013 ◽  
pp. 28-45
Author(s):  
Jia Shen ◽  
Lauren B. Eder
Keyword(s):  
Technology Acceptance ◽  
Social Engagement ◽  
Strong Support ◽  
User Acceptance ◽  
Perceived Usefulness ◽  
Theoretical Development ◽  
Future Research ◽  
Social Commerce ◽  
Social Shopping ◽  
Acceptance Model

Social commerce is the latest development in e-commerce to combine the power of online social networking with shopping. While the adoption of information technology is well studied, new theoretical development is needed to account for the specific characteristics of social commerce applications and their interactions with the user. This study examines factors that are associated with user acceptance of social shopping websites, which are sites designed specifically to support social interactions while users shop. This paper augments the Technology Acceptance Model with constructs that enhance the specificity of the model to the social shopping application of social commerce, including social comparison, social engagement, enjoyment as well as perceived ease of use and perceived usefulness. The model was empirically tested, and the results provided strong support. Implications and directions for future research are also discussed.

Diffusion of Innovation Theory and the Problem of Context for Inter-Organizational Information Systems

2012 ◽  
pp. 209-221
Author(s):  
Luke Houghton ◽  
Don Kerr
Keyword(s):  
Information Systems ◽  
Technology Acceptance ◽  
Diffusion Of Innovation ◽  
Diffusion Of Innovations ◽  
Diffusion Theory ◽  
Contextual Factors ◽  
Research Literature ◽  
Future Research ◽  
Diffusion Of Innovation Theory ◽  
Acceptance Model

This chapter argues that diffusion theory models like the technology acceptance model (TAM) need to be rethought of in light of contextual factors that are becoming increasingly important in modern inter-organisational settings. This is due to the growing complexity of organizations with respect to different organisational types, contexts, and political structures that have been shown in research literature to hinder information systems acceptance. The chapter looks at possible contextual factors that are ignored by TAM by critiquing its parent diffusion theory (diffusion of innovations). This approach was considered best as there are many variations of TAM, but the diffusion of innovations (DOI) theory underlies all these variations. The chapter also recommends a way forward for research into inter-organisational information systems by examining an example situation of Feral Information Systems (FIS) to illustrate the problem. The chapter concludes with a discussion about future research directions.

An Outsourcing Acceptance Model

2010 ◽  
pp. 534-557
Author(s):  
John Benamati ◽  
T.M. Rajkumar
Keyword(s):  
Project Management ◽  
Technology Acceptance ◽  
Decision Maker ◽  
External Environment ◽  
Ease Of Use ◽  
Perceived Usefulness ◽  
Decision Makers ◽  
Application Development ◽  
External Variables ◽  
Acceptance Model

The use of outsourcing is expanding rapidly. This chapter empirically tests a model of application development outsourcing acceptance based on the technology acceptance model (TAM). TAM-suggested perceived usefulness and ease of use mediate the effects of other variables on users’ attitudes towards a technology. The model tested in this chapter suggests that perceived usefulness and ease of use of outsourcing mediate the effects of the external environment, prior outsourcing relationships, and risks on decision-makers’ attitude toward application development outsourcing. One hundred and sixty respondents to a survey sent to 3000 IT decision makers provided data to confirm the applicability of TAM and the influences of these external variables. Support for applying TAM in this alternative context was found. Three sub-dimensions of risk, project management, relationship, and employee risk emerged. Project management and employee risks along with prior relationships were found to significantly influence decision maker perceptions about application development outsourcing.

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